| Regimental number | 9997 |
| Place of birth | Port Augusta South Australia |
| Religion | Church of England |
| Occupation | Fitter |
| Address | Lyndoch Road, Gawler, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Frances Urlwin, Lyndoch Road, Gawler, South Australia |
| Enlistment date | 6 August 1915 |
| Rank on enlistment | Driver |
| Unit name | 9th Field Company Engineers |
| AWM Embarkation Roll number | 14/28/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 5 July 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Motor Transport Company |
| Fate | Returned to Australia 10 June 1919 |
